KATLYN BAILEY CLARK-FUQUA MD
NPI 1952966467
Family Medicine in Harriman, TN

Active since May 09, 2019PECOS EnrolledAccepts Medicare Assignment
1855 TANNER WAY STE 200, HARRIMAN, TN 37748(865) 374-6272(865) 374-2100 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2024, Aug 7, 2024, Jun 22, 2021 and 2 more (5 updates tracked since 2019).

About Katlyn Bailey Clark-fuqua Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATLYN BAILEY CLARK-FUQUA MD (NPI 1952966467) is an individual family medicine provider in Harriman, Tennessee, licensed in Tennessee (71338) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Roane Medical Center, and is a graduate of University Of Louisville School Of Medicine (2021).

NPPES Registry Identity

NPI1952966467
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKATLYN BAILEY CLARK-FUQUACredential: MD
Location Address1855 TANNER WAY STE 200Harriman, TN 37748-8332
Mailing Address1855 Tanner Way Ste 200Harriman, TN 37748-8332 · (865) 374-6272 · Fax (865) 374-2100
Fax(865) 374-2100
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2021
Enumeration DateMay 9, 2019
Last NPPES UpdateAugust 26, 20245 updates tracked since enumeration
NPPES CertifiedAugust 26, 2024
NPI 1952966467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TN · 71338
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1855 TANNER WAY STE 200, Harriman, TN 37748

Other Names 1

Former Name (1)Katlyn Bailey Clark

Other Identifiers 1

MedicaidQ095495TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Katlyn Bailey Clark-fuqua Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779984372
PECOS Enrollment IDI20241015002882
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services14 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Roane Medical Center

Acute Care Hospitals · Harriman, TN
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440031
Location8045 Roane Medical Center DriveHarriman, TN 37748 · Roane County
Emergency services

Methodist Medical Center Of Oak Ridge

Acute Care Hospitals · Oak Ridge, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440034
Location990 Oak Ridge Turnpike Box 529Oak Ridge, TN 37830 · Anderson County
Emergency services Birthing friendly

Fort Sanders Regional Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440125
Location1901 W Clinch AveKnoxville, TN 37916 · Knox County
Emergency services Birthing friendly

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440173
Location9352 Park West BlvdKnoxville, TN 37923 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37748 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1855 TANNER WAY STE 200
HARRIMAN, TN 37748
Family Medicine
1855 TANNER WAY STE 200
HARRIMAN, TN 37748
Nurse Practitioner (Family)
1855 TANNER WAY STE 200
HARRIMAN, TN 37748
Nurse Practitioner (Pediatrics)
1855 TANNER WAY STE 200
HARRIMAN, TN 37748
Internal Medicine
1855 TANNER WAY STE 200
HARRIMAN, TN 37748
Nurse Practitioner (Family)
1855 TANNER WAY STE 200
HARRIMAN, TN 37748

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katlyn Clark-fuqua's NPI number?

The NPI number for Katlyn Clark-fuqua is 1952966467. It was assigned to this individual provider in the NPPES registry on May 9, 2019. The provider is also known as Katlyn Bailey Clark.

Where is Katlyn Clark-fuqua located?

Katlyn Clark-fuqua practices at 1855 Tanner Way Ste 200, Harriman, TN 37748. The listed phone number is (865) 374-6272.

What is Katlyn Clark-fuqua's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Katlyn Clark-fuqua enrolled in Medicare?

Yes. Katlyn Clark-fuqua is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Katlyn Clark-fuqua accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Katlyn Clark-fuqua as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Katlyn Clark-fuqua affiliated with any hospitals?

According to CMS data, Katlyn Clark-fuqua is affiliated with Roane Medical Center, Methodist Medical Center Of Oak Ridge, Fort Sanders Regional Medical Center and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Katlyn Clark-fuqua was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.